Brian Burgoyne (NPI# 1356375695, PAC ID# 3577477991) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1356375695 |
| PAC ID by PECOS | 3577477991 |
| Professional Enrollment ID | I20051006001048 |
| Full Name | Brian Burgoyne |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Address |
1901 Black Water Ct Las Vegas NV 89117-1949 |
| Phone Number | 9525951100 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2163597899 |
| Number of Group Practice Members | 339 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330395 | ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE |
| 381320 | COLUMBIA MEMORIAL HOSPITAL |
| 390115 | ARIA HEALTH |
| 390123 | POTTSTOWN HOSPITAL |
| 260040 | COX MEDICAL CENTERS |
| Address | Phone | Organization |
|---|---|---|
| 1921 Stonecipher Dr, Ada, OK 74820-3439 | 5804363980 | CHICKASAW NATION DIVISION OF HEALTH CHICKASAW NATION MEDICAL CENTER |
| 172 Red Arches Ct, Henderson, NV 89012-6004 | 7024934319 | FRED SMELTZER MD AND ASSOCIATES INC |
| 1901 Black Water Ct, Las Vegas, NV 89117-1949 | 9525951100 | RADADVANTAGE A PROFESSIONAL CORPORATION |
| 1901 Black Water Ct, Las Vegas, NV 89117-1949 | 7022547855 | STEUBEN RADIOLOGY ASSOCIATES INC |
| 1901 Black Water Ct, Las Vegas, NV 89117-1949 | 6103277282 | MONTGOMERY RADIOLOGY ASSOCIATES PC |
| 1901 Black Water Ct, Las Vegas, NV 89117-1949 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC | |
| 1901 Black Water Ct, Las Vegas, NV 89117-1949 | 5702149907 | GEISINGER CLINIC |
| 1901 Black Water Ct, Las Vegas, NV 89117-1949 | 7023270770 | BAY AREA RADIOLOGY PC |
| 1901 Black Water Ct, Las Vegas, NV 89117-1949 | FRED SMELTZER MD AND ASSOCIATES INC | |
| 1901 Black Water Ct, Las Vegas, NV 89117-1949 | SUTTER VALLEY MEDICAL FOUNDATION | |
| 2814 Soft Horizon Way, Las Vegas, NV 89135-1736 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 103 Medicine Way Rd, Peridot, AZ 85542-0787 | 9284751200 | SAN CARLOS APACHE HEALTHCARE CORPORATION |
| Organization Legal Name | RADADVANTAGE A PROFESSIONAL CORPORATION |
| Physicians | 182 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dmitry Bolkhovets | Diagnostic Radiology | Radadvantage A Professional Corporation | 67 Dora St, Apt 3, Stamford, CT 06902-5414 |
| Robert L Sciulli | Diagnostic Radiology | Radadvantage A Professional Corporation | 200 River Landing Dr, Unit 406a, Daniel Island, SC 29492-8416 |
| Clark T Kholeif | Diagnostic Radiology | Radadvantage A Professional Corporation | 6181 Kahiliholo Rd, Kilauea, HI 96754-5117 |
| Tracy J Robinson | Diagnostic Radiology | Radadvantage A Professional Corporation | 1940 E 3375, Millcreek, UT 84106-3939 |
| Katherine Tobin | Diagnostic Radiology | Radadvantage A Professional Corporation | 579 Sagamore Ave, Unit 60, Portsmouth, NH 03801-5570 |
| Charles J Vassallo | Diagnostic Radiology | Radadvantage A Professional Corporation | 2500 Kalakaua Ave, Apt 1003, Honolulu, HI 96815-3602 |
| Judith Corey | Diagnostic Radiology | Radadvantage A Professional Corporation | 5858 Bellaire Dr, New Orleans, LA 70124-1104 |
| Betsy J Bronson | Diagnostic Radiology | Radadvantage A Professional Corporation | 5050 Donald St, Eugene, OR 97405-3526 |
| Mujtaba M Ali | Diagnostic Radiology | Radadvantage A Professional Corporation | 518 S Buena Vista St, Redlands, CA 92373-5804 |
| Brendan Maney Miner | Diagnostic Radiology | Radadvantage A Professional Corporation | 510 14th St, St Augustine, FL 32084-1507 |
| Street Address |
1901 BLACK WATER CT |
| City | LAS VEGAS |
| State | NV |
| Zip | 89117-1949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Baumgartl | Anesthesiology | 1541 Windhaven Cir, Las Vegas, NV 89117-1532 | |
| Saritha L Farris | Clinical Social Worker | 7351 W Charleston Blvd, Suite 140, Las Vegas, NV 89117-1572 | |
| Aaron E Bomer | Clinical Social Worker | 7351 W Charleston Blvd, Suite 140, Las Vegas, NV 89117-1572 | |
| Joseph E Dipalma | Internal Medicine | 7341 W Charleston Blvd, Suite 120, Las Vegas, NV 89117-1573 | |
| Kathleen L Risdon | Clinical Social Worker | 7371 W Charleston Blvd, Suite 110, Las Vegas, NV 89117-1575 | |
| Maria A Giacalone | Chiropractic | 7341 W Charleston Blvd, Suite 170, Las Vegas, NV 89117-1578 | |
| Michelle A Gravley | Clinical Psychologist | Michelle Gravley, P.C. | 7221 W Charleston Blvd, Las Vegas, NV 89117-1619 |
| Russell P Jayne | Ophthalmology | 6839 W Charleston Blvd, Las Vegas, NV 89117-1635 | |
| Juliet Ruiz | Clinical Social Worker | 6867 W Charleston Blvd, Suite B, Las Vegas, NV 89117-1669 | |
| Charles G Mahakian | Psychiatry | 6881 W Charleston Blvd, Suite B, Las Vegas, NV 89117-1673 | |
| Find all physicians in zip 89117 | |||
| City | LAS VEGAS |
| Zip Code | 89117 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LAS VEGAS + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.